[POSITIONING OF IMMOBALE NEUROLOGIC PATIENT].

Damage to the central nervous system leads to the loss of motor control, loss of consciousness, sensory, cognitive and perceptive dysfunction. Patients are immobile in the early phase of recovery, therefore therapeutic approach demands appropriate methods of patient positioning in bed. The positioning has to ensure conditions that will stimulate and promote functional rehabilitation and prevent complications of immobility. The positioning has to rely on functional assessment of the patient problem, while it should also be therapeutic and individually adjusted to the patient needs. In the methods of positioning an immobile patient, all medical team members take part, especially nurses, physical therapists and occupational therapists. Results of positioning are better if mobilization and integration of the abilities regained by the patient are included.

Understanding risks and consequences of pathogen infections on the physiological performance of outmigrating Chinook salmon.

The greatest concentration of at-risk anadromous salmonids is found in California (USA)-the populations that have been negatively impacted by the degradation of freshwater ecosystems. While climate-driven environmental changes threaten salmonids directly, they also change the life cycle dynamics and geographic distribution of pathogens, their resulting host-pathogen interactions and potential for disease progression. Recent studies have established the correlation between pathogen detection and salmonid smolt mortality during their migration to the ocean. The objective of the present study was to screen for up to 47 pathogens in juvenile Chinook salmon (Oncorhynchus tshawytscha) that were held in cages at two key sites of the Sacramento River (CA, USA) and measure potential consequences on fish health. To do so, we used a combination of transcriptomic analysis, enzymatic assays for energy metabolism and hypoxia and thermal tolerance measures. Results revealed that fish were infected by two myxozoan parasites: Ceratonova shasta and Parvicapsula minibicornis within a 2-week deployment. Compared to the control fish maintained in our rearing facility, infected fish displayed reduced body mass, depleted hepatic glycogen stores and differential regulation of genes involved in the immune and general stress responses. This suggests that infected fish would have lower chances of migration success. In contrast, hypoxia and upper thermal tolerances were not affected by infection, suggesting that infection did not impair their capacity to cope with acute abiotic stressors tested in this study. An evaluation of long-term consequences of the observed reduced body mass and hepatic glycogen depletion is needed to establish a causal relationship between salmon parasitic infection and their migration success. This study highlights that to assess the potential sublethal effects of a stressor, or to determine a suitable management action for fish, studies need to consider a combination of endpoints from the molecular to the organismal level.

SAGE and antibody array analysis of melanoma-infiltrated lymph nodes: identification of Ubc9 as an important molecule in advanced-stage melanomas.

Although patients diagnosed with melanoma of

High doses of anti-inflammatory drugs compromise muscle strength and hypertrophic adaptations to resistance training in young adults.

AIMS: This study tested the hypothesis that high doses of anti-inflammatory drugs would attenuate the adaptive response to resistance training compared with low doses. METHODS: Healthy men and women (aged 18-35 years) were randomly assigned to daily consumption of ibuprofen (IBU; 1200 mg; n = 15) or acetylsalicylic acid (ASA; 75 mg; n = 16) for 8 weeks. During this period, subjects completed supervised knee-extensor resistance training where one leg was subjected to training with maximal volitional effort in each repetition using a flywheel ergometer (FW), while the other leg performed conventional (work-matched across groups) weight-stack training (WS). Before and after training, muscle volume (MRI) and strength were assessed, and muscle biopsies were analysed for gene and protein expression of muscle growth regulators. RESULTS: The increase in m. quadriceps volume was similar between FW and WS, yet was (averaged across legs) greater in ASA (7.5%) compared with IBU (3.7%, group difference 34 cm3 ; P = 0.029). In the WS leg, muscle strength improved similarly (11-20%) across groups. In the FW leg, increases (10-23%) in muscle strength were evident in both groups yet they were generally greater (interaction effects P < 0.05) for ASA compared with IBU. While our molecular analysis revealed several training effects, the only group interaction (P < 0.0001) arose from a downregulated mRNA expression of IL-6 in IBU. CONCLUSION: Maximal over-the-counter doses of ibuprofen attenuate strength and muscle hypertrophic adaptations to 8 weeks of resistance training in young adults. Thus, young individuals using resistance training to maximize muscle growth or strength should avoid excessive intake of anti-inflammatory drugs.

Floating plastics in Adriatic waters (Mediterranean Sea): From the macro- to the micro-scale.

Macro- and microplastics abundances were determined in the Adriatic Sea following the MSFD TG10 protocol. The studied areas included populated gulfs, river outlets and offshore waters in five Adriatic countries. The use of small ships enabled us to detect small sized plastics (2.5-5 cm) and record average macroplastics densities of 251 ±â€¯601 items km-2, one order of magnitude higher than previously considered. Results from manta net tows for microplastics revealed an average abundance of 315,009 ±â€¯568,578 items km-2 (217 ±â€¯575 g km-2). We found significantly higher microplastics abundances in nearshore (≤4 km) than in offshore waters (>4 km) and this trend seems to affect also the small sized macro plastic fragments (2.5-5 cm). The dominant polymers were polyethylene and polypropylene while the presence of some rare polymers and waxes used in food and dentistry indicated waste water treatment plants as potential sources of microplastics.

Adolescent acceptance of different foods by obesity status and by sex.

This work investigated possible differences in food preference between obese and normal-weight adolescents, as well as between female and male seventh-grade pupils (average age = 13.1 years). Survey of affinities for nine food groups was determined with a facial hedonic scale. The children were divided according to their BMI into normal-weight and obese group, respectively. In this sample of adolescents, we could not find any proof for the theory of increased preference for fattening foods by obese compared to normal-weight people. In fact, our normal-weight group showed greater liking of sweets, meat, and cereals than the obese group. Normal-weight boys also preferred meat and sweets more than normal-weight girls. We consider psychological and social factors (e.g., perception of ideal body shape or social stigmatism of obesity) as the most logical explanations for the observed differences. Further research should clarify whether food preference plays a significant role in the etiology of adolescent obesity.

Selenium intake as a modulator of responsiveness to oxidative stress.

A deficiency in important components of the endogenous antioxidative defense system (AODS) against the production of reactive oxygen species, including free radicals, results in the accumulation of oxidative damage, inducing oxidative stress. A dietary deficiency in selenium (Se), an important part of AODS, can increase the sensitivity of a living system to oxidative stress. We investigated the effects of Se supplementation, in the form of Se-enriched yeast, on the AODS resistance of red blood cells (RBC) to experimentally induced oxidative stress. We analyzed the alterations in main components of the AODS, such as the amount of reduced (GSH) oxidized glutathione (GSSG), Se-dependent glutathione peroxidase (GSH-Px), Se content, catalase (CAT), and thiobarbituric acid reactive substances (TBARS), in RBC of male Wistar rats exposed to gamma rays and supplemented with Se-enriched yeast (SeY) in drinking water. The results suggested that the increased Se level generally exhibited a protective effect against whole body irradiation, reducing the expenditure of the AODS components in defense. These reductions differed depending on the time observed and the parameter investigated but, generally, SeY supplementation induced a faster restoration of the AODS after this kind of oxidative stress.

Aluminum levels in human milk.

Aluminium levels in human milk in the winter period of 1992/93 ranged from 0.004 mg/l to 2.67 mg/l and the mean value was 0.38 mg/l. The nursing women were divided into several groups according to the results of a questionnaire, i.e. according to their social status (if they were refugees or not), number of deliveries, post partum day, the weight they put on during pregnancy, their age, and smoking habits. The mean levels of aluminium for each group were presented. The measurement of aluminium was done by graphite furnace atomic absorption spectrophotometry.

Daily dietary intake of selenium in eastern Croatia.

Data on the selenium content in the soil and human milk in eastern Croatia indicate a possibility of inadequate Se status of people in the area. In order to determine the daily dietary intake of Se in eastern Croatia, a 7-day duplicate diet study was performed. There were 41 participants (18-53 years old; 14 males and 27 females). Selenium measurement was carried out in a HG-AAS. The average daily Se intake in the area is 27.3 micrograms. A significant difference (P < 0.05) exists between male (32.2 micrograms) and female (24.8 micrograms) participants. Percentage of optimum Se intake shows an inverse association with the increasing age of subjects (r = 0.43; P < 0.01). Relationship between Se intake and intakes of different foods (cereal products, milk and dairy products, meat, fish, etc.) was also examined. The sub-optimal Se intake (RDA is 55 micrograms/day for women and 70 micrograms/day for men) is a reflection of low Se levels in the environment, so supplementation of fertilizers with Se should be considered.

Epidemiology of end-stage renal disease and current status of hemodialysis in Yugoslavia.

Maintenance hemodialysis (HD) in Yugoslavia started in the sixties and followed the dialysis trends in the Western Europe. However, in the last decade the development of renal replacement therapy (RRT) slowed down. In this report the epidemiology of ESRD from 1997-1999 and the survey of the status of HD treatment in Yugoslavia in 1999 are presented. Epidemiological data are obtained by the annual center questionnaires (response rate: 92.6 -94.2%). The survey of HD status is based on a specific questionnaire and covered 2108 patients (65%). At the end of 1999 there were 56 RRT centers in Yugoslavia treating 3939 patients: 3232 (82%) patients by HD, 248 (6.3%) by peritoneal dialysis, and 459 (11.7%) living with transplanted kidney. In a three year period, incidence of ESRD ranged from 108-128 pmp, point prevalence from 435-463 pmp and mortality rate from 20.7-17.9. Numerous refugee patients were treated over the last 10 years. Main causes of ESRD were glomerulonephritis (30%); Balkan nephropathy represented 11% and diabetic nephropathy 7% of all primary renal diseases. Cardiovascular and cerebrovascular diseases were the most common causes of death of RRT patients. Most centers are overcrowded and HD machines are worn out. Mean Kt/V was 1.19+/-0.08, mean URR% 58.8+/-7.4. The shortage of drugs prevented adequate management: 83% of HD patients had hemoglobin level less than 100 g/L but only 10.3 -17.8% were treated with rHuEpo; 64.5% of patients had phosphate levels higher than 1.7 mmol/L but only 33.5% used phosphate binders; 47% of patients had hypertension despite the antihypertensive therapy. The prevalence of hepatitis B remained unchanged (about 14%) in HD population during the last three years, but the prevalence of anti-HCV positive patients decreased (31-23%). In conclusion, there is a well developed dialysis service in Yugoslavia but insufficient conditions for adequate treatment.

Selenium content and distribution in rat tissues irradiated with gamma rays.

The effects of supplementation with selenous yeast and ionizing radiation on selenium (Se) content and distribution were evaluated in rat tissues (liver, kidney, spleen, heart, muscle, blood, front brain, hind brain, hypothalamus, pituitary, adrenal glands, testes, and hair). This study had 16 Se-supplemented (0.5 micrograms Se/d) and 16 placebo adult male Wistar rats. One half of the animals (eight Se-supplemented and eight placebos) were irradiated with a single dose of 4.2 Gy from a Co-60 source and sacrificed 7 d after irradiation along with nonirradiated animals and analyzed for Se content determination. The data obtained showed that selenous yeast supplementation increased Se levels in rat tissues (highest increases in hypothalamus, 161%; hind brain, 126%; spleen, 110%; and adrenal gland, 105%). Ionizing radiation induced significant changes in Se content and distribution (decrease in liver, blood, hair, femoral muscle, spleen, and hypothalamus; increase in kidney, testes, adrenal glands, and brain of placebo group). Supplementation with selenous yeast reduces changes in Se content and distribution after irradiation. It seems that the animal tissue susceptibility to oxidative damage may be correlated to their ability to retain Se in tissues.

Aluminium content of soft drinks from aluminium cans.

The aluminium (Al) content of soft drinks from Al cans has been measured during 12 months of storage, by the graphite furnace atomic absorption spectrophotometry (GFAAS) method. The results show that the Al content in all soft drinks increased during the whole storage time. This increase was a result of dissolution of Al from the can wall due to the presence of aggressive ingredients in the soft drinks, mainly acids. The Al content rose with increasing acid concentration and decreasing pH value of the soft drinks. The evaluated possible daily intake of Al (0.8 mg) through consumption of these drinks was practically negligible in relation to total daily dietary Al intake, as well as to tolerable daily intake. Thus, soft drinks from Al cans are an insignificant source of dietary Al intake and it appears that the Al intake from this source should not be a cause for concern in regard to Al toxicity for the human body.

Adequacy of a food composition database to estimate fat and fatty acid intake.

This work examined the adequacy of the only food composition database available in Croatia to estimate fat and fatty acid intake. A 7-day food record with 39 participants was carried out. In addition to Croatian food composition tables (FCT1), the Swedish food tables (FCT2) were used to convert food records into quantities of total fat and saturated, monounsaturated and polyunsaturated fatty acids, respectively. The subjects simultaneously collected duplicates of all consumed food. The chemical analysis of duplicates to determine total fat and fatty acids included extraction of fat, followed by methylation of fatty acids and GC analysis. According to the comparison of methods, FCT2 are a better predictor of fat and fatty acid intake than FCT1 because of their closer agreement with analysed values. The correlation coefficients imply that both food tables estimate most of these nutrients similarly to a reference method. However, food records combined with either of the food tables could not predict intake of polyunsaturated fatty acids by men. In order to improve applicability of FCT1 in dietary surveys concerned with fat and fatty acids, the next issue should include changes in respect to an identified systematic error, as well as a greater choice of food items and their varieties. Accuracy of food records based on FCT1 could further be increased with subjects giving details on recipe ingredients, analysis of missing foods, etc.

Regulation of malate dehydrogenase activity by glutamate, citrate, alpha-ketoglutarate, and multienzyme interaction.

Binding experiments indicate that mitochondrial aspartate aminotransferase can associate with the alpha-ketoglutarate dehydrogenase complex and that mitochondrial malate dehydrogenase can associate with this binary complex to form a ternary complex. Formation of this ternary complex enables low levels of the alpha-ketoglutarate dehydrogenase complex, in the presence of the aminotransferase, to reverse inhibition of malate oxidation by glutamate. Thus, glutamate can react with the aminotransferase in this complex without glutamate inhibiting production of oxalacetate by the malate dehydrogenase in the complex. The conversion of glutamate to alpha-ketoglutarate could also be facilitated because in the trienzyme complex, oxalacetate might be directly transferred from malate dehydrogenase to the aminotransferase. In addition, association of malate dehydrogenase with these other two enzymes enhances malate dehydrogenase activity due to a marked decrease in the Km of malate. The potential ability of the aminotransferase to transfer directly alpha-ketoglutarate to the alpha-ketoglutarate dehydrogenase complex in this multienzyme system plus the ability of succinyl-CoA, a product of this transfer, to inhibit citrate synthase could play a role in preventing alpha-ketoglutarate and citrate from accumulating in high levels. This would maintain the catalytic activity of the multienzyme system because alpha-ketoglutarate and citrate allosterically inhibit malate dehydrogenase and dissociate this enzyme from the multienzyme system. In addition, citrate also competitively inhibits fumarase. Consequently, when the levels of alpha-ketoglutarate and citrate are high and the multienzyme system is not required to convert glutamate to alpha-ketoglutarate, it is inactive. However, control by citrate would be expected to be absent in rapidly dividing tumors which characteristically have low mitochondrial levels of citrate.

Ash and chromium levels of some types of honey.

The effect of season and species of plant on the ash and chromium (Cr) content of honey was studied. There were four types of honey: sunflower, acacia, floral and wild floral. In total there were 80 samples. The botanical origin of the honey was determined by microscopic analyses of pollen as well as the organoleptic properties. The Cr content was measured by flame atomic absorption spectrophotometry. The average Cr content in two consecutive seasons for all species was 0.121 microgram/g wet weight, and 0.1515 microgram/g dry weight. For sunflower, acacia, floral and wild floral honey the mean values were 0.103 microgram/g, 0.152 microgram/g, 0.125 microgram/g and 0.098 microgram/g wet weight and 0.1305 microgram/g, 0.1883 microgram/g, 0.1603 microgram/g and 0.1206 microgram/g dry weight, respectively. The average ash content in all 80 samples was 0.141%. There was a statistically significant (P < 0.05) influence of season on the ash content as well as interaction of species and season on the Cr content.

Selenium content of breast milk.

Selenium levels in human milk in the winter period ranged from 5.3 micrograms/l to 23.8 micrograms/l, the mean value being 11.0 micrograms/l. The nursing women were divided into several groups according to the results of a questionnaire, i.e. according to their social status (refugees or otherwise), number of deliveries, post partum days, the weight they had gained during pregnancy, their age and smoking habits. The mean levels of selenium for each group are presented. Selenium was determined by hydride generation atomic absorption spectrometry.

Copper and zinc content in human milk in Croatia.

The aim of this paper was to research whether there had been any statistically significant difference in the content of Cu and Zn in human milk depending on the social status of women (refugee and non-refugee), age, number of deliveries, days after delivery, weight gained by nursing women and smoking habits, as well as whether the infants had received sufficient quantities of these elements. The elements were determined by flame atomic absorption spectrometry. The samples were collected in the Clinical Hospital Osijek and Refugee Centre Nabrde, near Osijek, Eastern Croatia. The Cu in human milk ranged from 0.27 mg/l to 1.35 mg/l, and Zn from 0.62 mg/l to 15.0 mg/l. The mean levels of Cu and Zn for each group, formed according to the results of the questionnaire are presented too. Calculated daily dietary intake of these elements accords with the RDA.